Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $33.85 / $100.80	Facility		$24.18	$33.85	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.94 / $42.24	Professional		$16.52	$18.94	$42.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $52.39 / $55.41	Facility		$43.32	$52.39	$55.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $83.38	Professional		$9.13	$9.13	$83.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $50.23 / $52.20	Facility		$11.37	$50.23	$52.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $54.26 / $61.66	Professional		$23.13	$54.26	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $24.18	Facility		$12.19	$12.19	$24.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $16.52 / $95.71	Facility		$12.19	$16.52	$95.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.14 / $52.98	Professional		$12.09	$20.14	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $30.23 / $85.00	Professional		$9.97	$30.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $24.18	Facility		$12.19	$12.19	$24.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $48.91 / $68.20	Professional		$23.56	$48.91	$68.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $95.71	Facility		$40.29	$40.29	$95.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.43	Professional		$10.68	$10.68	$11.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.03 / $42.91	Professional		$19.03	$19.03	$42.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $58.56 / $110.02	Professional		$19.03	$58.56	$110.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $16.12 / $52.98	Professional		$10.60	$16.12	$52.98